Individual
KRISTIANA MICINOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
97 LIBBEY PKWY, WEYMOUTH, MA 02189-3110
(781) 331-3300
Mailing address
31 WOLLASTON AVE, QUINCY, MA 02170-2701
(617) 955-2535
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5572
MA
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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